EABS2000                                          May 22-26, 2000      Kyongju, Korea

 

 

 

 

Please tick one topic below that is most suitable for your abstract.

A. Structural Biophysics                                B.                                Cell and Membrane Biophysics

C. Neurobiophysics                                D.                                Cell Motility

B. Biophysical Technology

 

Presenting Author:

Family Name:                                       Given Name:

Institution:

Address:

Phone:                                               Fax:

E-mail:

Date:                                                Signature:

Office Use Only: Date Received     /     /  

APPLICATION FORM

FOR PARTIAL FINANCIAL ASSISTANCE

 

The Korean Biophysical Society is offering travel grant supplements and/or registration fees to attend the Third East Asian Biophysics Symposium in Kyongju, May 22-26, 2000. These financial supports are especially intended for postdoctoral fellows and graduate students who will represent their own works at poster session.

 

Please type or print clearly.

 

Family Name:                                    Given Name:

Institution:

Address:

Phone:                                            Fax:

E-mail:

 

Status:

(Please check the appropriate box(es).)

 

Prof

Dr.

Postdoctral Fellow

Graduate Student

Other

 

Include three copies of the following:

 

(1)   This application.

(2)     Letter of recommendation from your advisor for postdoctoral fellow and graduate student.

(3)     Your abstract.

 

Submit to:   Symposium Secretariat

Prof. Young Kee Kang

Department of Chemistry

Chungbuk National University

Cheongju, Chungbuk 361-763

Korea

 

Deadline for submission: March 1, 2000.

 

 

 

 

 

 

 

Office Use Only: Date Received      /      /    

REGISTRATION FORM

 

Please type or print clearly and tick appropriate boxes.

 

Title: Prof.   Dr.    Mr.    Ms.

Family Name:                                Given Name:

Institution:

Address:

City:                                Province:

Postal/Zip Code:                                Country:

Phone:                                Fax:

E-mail:

Passport Details (if applying for the symposium visa)

Passport No.:                                Nationality:

 

Accompanying Person(s):

                 Family Name        Given Name        Passport No.              Nationality

1.

2.

 

For students, the following statement must be completed by the head of the department or a supervisor.

I certified that                                     is a student currently working toward an academic degree.

Signature:                                Title:

Registration Fees:

           Before March 15, 2000                                 After March 15, 2000

Regular Participant      US$200                            Regular Participant              US$250

Student                US$100                            Student                        US$150

 Accompanying Person        US$100               Accompanying Person            US$100

 

Enter Total Amount US$

 

Please send the above amount by bank transfer; banker's check or draft in US$. No credit cards will be accepted Make your check or draft payable to "EABS2OOO" and write "For deposit only to payees account" on the back of the check.

 

 I have enclosed the above amount by check/draft No.                                              drawn on (Name of Bank)                                           for US$

 I(We) have remitted the above total amount on                                     (date) by the name of

(name of remitter) through                           (name of bank) to:

National Agricultural Cooperate Federation (NACFKRSE swift code 32329), Chungbuk National University Branch, Cheongju, Chungbuk 361-763, Korea.

     Account Name: EABS2OOO     Account No.: 304-02-324844

 

Please attach a copy of the bank receipt or equivalent

Abstract enclosed.                                      Abstract will be sent separately.

I have submitted an application for financial support.         I will not present a paper.

Date:                                                               Signature:

Office Use Only: Date Received      /      /